Hometown Medical Clinic | |
1034 Main St Ste B Bean Station TN 37708-4257 | |
(865) 203-5077 | |
Not Available |
Full Name | Hometown Medical Clinic |
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Speciality | Clinic/Center |
Location | 1034 Main St Ste B, Bean Station, Tennessee |
Authorized Official Name and Position | Ashley Mckinney (MEMBER/MANAGER) |
Authorized Official Contact | 8652035077 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hometown Medical Clinic Po Box 237 Bean Station TN 37708-0237 Ph: () - | Hometown Medical Clinic 1034 Main St Ste B Bean Station TN 37708-4257 Ph: (865) 203-5077 |
NPI Number | 1275280273 |
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Provider Enumeration Date | 03/09/2022 |
Last Update Date | 03/09/2022 |
Medicare PECOS PAC ID | 1557758646 |
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Medicare Enrollment ID | O20220419002620 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275280273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Ashley Mckinney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184123382 PECOS PAC ID: 9537586250 Enrollment ID: I20200826002653 |
Provider Name | Stacie Nicole Davy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578269908 PECOS PAC ID: 6507231941 Enrollment ID: I20230417001673 |
Bean Station Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1179 Highway 11w, Bean Station, TN 37708 Phone: 865-993-1070 Fax: 865-993-1075 | |
Southern Care Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1179 Highway 11w, Bean Station, TN 37708 Phone: 865-898-8318 | |
Broadway Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1179 Highway 11w, Bean Station, TN 37708 Phone: 865-993-1070 Fax: 865-993-1075 | |
William L. Martin Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Main St, Bean Station, TN 37708 Phone: 865-993-4135 Fax: 865-993-4108 |